Patients with maxillectomy face problems with speech, swallowing, chewing and appearance. These defects are prosthetically rehabilitated with obturators that prevent oronasal communication, restoring function and social reintegration. An obturator must be light-weight, tight, easy to make and low cost. This article describes a simplified technique for fabrication of an acrylic hollow bulb obturator in two pieces using single flask. The prosthesis is made entirely of heat cure acrylic resin. The two parts of the obturator are sealed with the self-curing resin.
The prevalence of oral candidiasis has increased over recent years in patients with the compromised general condition. There are a large number of plant species that have been traditionally used for oral diseases by the Moroccan population. These species could provide a source for discovering new active principles of natural origin against Candida albicans involved in the appearance of candidiasis infections. Information was acquired using the electronic databases Web of Science, Scopus and PubMed. In the first part, this review presents the medicinal plants used by the Moroccan population for the treatment of oral disorders (Toothaches, gingivitis, ulcers, stomatitis, abscesses, ...). The second part describes different studies regarding the antifungal activity of essential oils and organic extracts of some Moroccan species against Candida albicans. Inhibition zone diameter (IZD), Minimum inhibitory concentration (MIC) and minimum fungicidal concentration (MFC) values of essential oils and plant's extracts were noted. The third part concerns Moroccan plants with the antifungal activity that can be used in medical and agricultural fields. Several species of Moroccan plant proved their effectiveness against Candida albicans and can be used for the treatment of oral candidiasis. Further research should be undertaken in the future to investigate the toxicity of essential oils and plant extracts with antifungal properties for clinical use. This review provided an update on Moroccan plants presenting antifungal activity and especially those active against Candida albicans.
The aim of this study was to assess the means of communication used between the dentist and the dental technician in the removable partial prosthesis and to identify the difficulties encountered by the practitioners.Materials and methods: a descriptive study has conducted among a sample of 289 dentists in Casablanca, Morocco. The survey is a questionnaire of 18 questions created by the researchers for the needs of the present study. The exclusion criteria comprised retirees, replacements, pedodontists, and exclusive orthodontists. Dentists were informed about the objectives of the survey, and their oral consent was obtained. Throughout the study, anonymity and respect for the identity of the data have been ensured. Results:The results of this study show inadequate communication between dentists and laboratory technicians, modern means of communication are still less used compared to the traditional methods like written prescriptions (98,1%) or phone (63,6%). The use of the CAD/CAM technology was estimated at (16,4%), in which the minority use it in RPDs (4,7%). Communication difficulties can lead the dentist to end the relationship with the technician (63%). Relationship difficulties are related to insufficient communication due to incomplete or poorly written instructions by the practitioner. Conclusion:The quality of communication between dentist and laboratory technician is an essential component for the prosthetic project success. the training of dentists in communication with the dental technician and the use of new technologies is essential for good communication and better efficiency.
The maxillary tumors include various histological entities which are the subject of a very particular treatment. Clinical, radiological and anatomopathological criteria are used to determine the diagnosis. In spite of the evolution of reconstructive surgical techniques and the development of microsurgery, the conventional obturator prosthesis is still in use nowadays. In this context, it must restore the main functions of chewing, phonation and deglutition and give the patient a satisfactory aesthetic appearance.
The direct effects of cancer and the therapeutic sequelae have a profound impact on the patients' quality of life. The resultant loss of maxillary substance is accompanied by serious functional, aesthetic, psychological and social problems. The maxillofacial obturating prosthesis remains as a therapeutic tool that improves aesthetics and restores the various functions of chewing, swallowing and phonation. A tight collaboration between the maxillo-facial surgeon and the dentist is essential to obtain an optimal prosthesis both functionally and aesthetically, thus allowing a socio-professional reintegration of the patient.
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